STATE OF ALASKA
APPLICATION FOR AMENDED CERTIFICATE OF REGISTRATION
Pursuant to the provisions of Section 10.50.630 of the Alaska Revised Limited Liability Act, the undersigned company applies for
an amended certificate of registration to transact business in Alaska.
The name of the company as currently registered with the State of Alaska is:
The date the company registered in the State of Alaska is:
The limited liability company name has been changed to:
The name which it elects to use in Alaska (if applicable):
The company desires to pursue in Alaska additional purposes other than those set forth in its prior application for
certificate of registration, as follows:
Signature of Person Executing Document
Note whether member, manager, or attorney-in-fact
Enter the company name as currently on file in Alaska, and the date the company was registered in area No. 1.
If the company name has changed, a certificate of good standing under the new name must be submitted with the
If the name has not changed, insert “No Change” in No. 2.
If the new name is unavailable for use in Alaska, insert the name the company elects to use in No. 3.
A limited liability company name must contain the words “limited liability company” or an abbreviation of these words.
If no other or additional purposes is proposed, insert “No Change” in No. 4.
MAIL THE ORIGINAL AND AN EXACT COPY OF THE APPLICATION
ALONG WITH THE $25.00 FILING FEE TO:
Department of Community and Economic Development
P.O. Box 110808
Juneau, Alaska 99811-0808